CDHB purchase order terms and conditions for suppliers reference.

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A summary of the costs of hospital intensive care services provided to those not entitled to NZ free health care (ineligible patients). The cost summary should include reference to the number of days or hours in intensive care. Information to cover the last three years.

Tags Cost of healthcareDebtEligibilityICUIneligible patientsIntensive CareNon-residents

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Yaldhurst quarries - International peer review reports - personal monitoring of dust exposure and levels involving Yaldhurst residents in the vicinity of quarries.

Tags Air pollutionDustQuarrying

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Re the HPV vaccine in schools:

• How many schools are part of the HPV immunisation programme in NZ
• How many schools are not part of the HPV immunisation programme in NZ?
• Which ones?

Tags HPVHPV Gardasil VaccineHuman papillomavirusesSchoolsVaccinationsVaccine

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Suspected sexual or physical abuse in children aged 0-17 the CDHB has treated - 2017 - 2021 YTD.

Tags AbuseChild abuseSexual abuse

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HPV Gardasil Vaccine: Number of schools refusing school based immunisation programme for this vaccine.

Tags HPVHPV Gardasil VaccineHuman papillomavirusesSchoolsVaccinationsVaccine

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The Canterbury DHB Board meet approximately every month. Board agenda papers are usually published two days before a board meeting.

Tags BoardBoard MeetingCDHB Board

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The number of times DHBs have challenged a coroner's findings after an inquest.

Tags CoronerDeathsInquests

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Transmasculine chest surgery - follow up to response to CDHB 10555.

• For transmasculine chest surgery (mastectomy) it was decided in 2019 to provide surgery for five transgender cases per annum.
• What was the previous number?
• Why are only five surgeries performed per annum?
• Are there any plans/policies in place to increase this number to meet the growing demand for gender affirming surgeries?
•  

Tags Gender-affirming healthcare servicesMastectomySurgeryTransgendertransmasculine chest reconstruction surgery

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All correspondence by any CDHB staff member about the surplus Covid-19 vaccine doses on the weekend of April 9-11 involved in managing and distributing the vaccine doses during that period including but not limited to:

• when it was discovered,
• how the over-supply happened,
• all discussion about responses to distribute (and not waste) the extra doses.
• AND all and any correspondence to and from Ralph La Salle, Hannah Gordon and Kim Sinclair-Morris about the surplus supply and its distribution from Friday April 9 to April 18.

Tags CoronavirusCOVID-19COVID-19 VaccinePandemicVaccinations

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• Can you advise whether PSMA (Prostate Specific Membrane Antigen) PET-CT is funded by the DHB, or only available privately?
• If publicly funded, please can you advise whether there are criteria that must be met. For example: For staging of high risk and unfavourable intermediate risk prostate cancer before definitive local therapy. For restaging of PSA recurrence (≥0.2ng/ml).

Tags CancerPatientsPET-CT ScanningProstate cancerPSAPSMA

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Information about Specialist Mental Health Services provided during January to April 2021.

Tags PsychiatristsReferWait listWait times

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The Hospital Advisory Committee (HAC) meets approximately every 3 months.

Tags HACHospital Advisory Committee

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Do you provide financial support to Pegasus 24 Hour Surgery to reduce the cost of home visits? If so, why is a similar level of support not provided to Afterhours GP?

Tags After-HoursGeneral PracticesGPsHome visitsSurgery

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Re Mental Health Act 1992:

• What is the ethnicity of psychiatrists currently working in DHB psychiatric inpatient units and what is the ethnicity of allied clinical staff working in DHB psychiatric units?
• What DHB protocols are there for ensuring Maori Clinical staff care for Maori Tangata Whaiora?

Tags MaoriMental HealthPsychiatrists

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• Since the start of 2020 how many people have been made redundant at Canterbury DHB?
• How many fixed term contracts been terminated?
• How many people have been employed as permanent staff?
• How many fixed term contracts have been initiated?
• How are your supplies of smart infusions, infusion sets, medications, and IV fluids?
• Are any of your supplies at critical levels? If so, what, and when will they be restocked?
• Are you able to replenish your above mentioned supplies easily?

Tags Clinical suppliesResignationStaffingVacancies

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Re Cardiology Dept 15-29 March 2021:

• Number of echo staff,
• hours worked;
• numbers of cases completed per day and size of backlog;
• period of time backlog has existed;
• number of and period of staff absence for any reason including training, sickness, unfilled positions, acting up;
• work allocation and prioritisation; triage system rules;
• outpatient backlog size;
• age and quality of equipment.

Tags CapacityCardiologyEchoStaffing

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• Any memos, reports or briefing notes, including drafts, prepared since January 1, 2021 relating to the vaccine roll out in Canterbury.
• Any emails and information about the left over vaccines distributed by the CDHB to businesses and contingency plan.
• The names and number of businesses which were offered the free vaccines to avoid wastage.
• The locations of every vaccination clinic in Canterbury.
• The standby list of people within Managed Isolation and Quarantine or Port facilities.
• Examples of how Māori and Pacific healthcare has been prioritised since the announcement of the vaccine roll out.

Tags CoronavirusCOVID-19PandemicPublic healthVaccinations

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Hospital pathology service contracts past and present.

Tags ContractsPathology

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CDHB Annual Plans: Would you please provide me with copies of those up to and including 2007/2008, either electronically or by hard copy mailed to my home address.

• The CDHB's Annual Plan for 2019/20 (the Annual Plan for 2020/21 is not yet publicly available) states on page 1 that the Annual Plan "has been prepared to meet the requirements of the New Zealand Public Health and Disability Act, Crown Entities Act, Public Finance Act, and the expectations of the Minister of Health."
• Please provide specific details of the sections and/or subsections of the three Acts which require DHBs to prepare Annual Plans.
• Please provide specific details which give the Minister of Health the right to state what his or her expectations are of the CDHB - what is the legislative basis for such expectations?

Tags Annual PlanAnnual Plans

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Copies of documents created since the start of 2019 that relate to the condition, performance and adequacy of specialist mental health facilities managed by the DHB: Copies of business cases for repairs or upgrades of existing SMHS facilities / building of new facilities. Bed occupancy rates, bed numbers, unplanned readmission rates, funding for SMHS addiction facilities etc.

Tags Bed occupancyBusiness caseFacilitiesHillmorton HospitalMental HealthNumber of beds

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The Canterbury DHB Board meet approximately every month. Board agenda papers are usually published two days before a board meeting.

Tags BoardBoard MeetingCDHB Board

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• Was the CDHB not monitoring the quality of cardiac services for 2017, 2018, 2019?
  • If they did, can I have the quality reports. /Echo (which is currently the most definitive low cost screening procedure) wait times are not monitored by the CDHB for the last 3 years and no one is looking for correlation between Echo wait times and hospitalisation/death incidents?
• Again, more formally: Was the CDHB not monitoring the quality of cardiac diagnostic services and the correlation to hospitalisation/death for 2017, 2018, 2019?
  • If they did, can I have the quality reports.
• Does the CDHB produce quality reports to measure how many people were admitted to ED for heart condition while waiting for a diagnostic/procedure?

Tags CardiacECGEchoHeart surgeryProceduresQualitySurgery

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Disposal of post-operative and pathology body parts and tissue.

Tags Body part itemsHuman tissuePathology

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• In the past 12 months, what proportion of your DHB patients that were referred to a waiting list by a surgeon, for a joint replacement, were accepted onto the list and got surgery?
• in 2017 what proportion of your DHB patients that were referred to a waiting list by a surgeon, for a joint replacement, were accepted onto the list and got surgery?
• Is the DHB able to comment on whether there are enough GPs in the region?

Tags GPsHipHip replacementJoint replacementKneeKnee replacementPrivate referralsReferralsSurgery

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• Community Mental Health Services - Child and adolescent metal health; and (Te Haika) Mental Health Crisis response.
• DHB Mental Health Services Admissions, waitlists, number of psychologists employed by the DHB.

Tags CAFChild healthCommunity Mental Health ServicesCrisis resolutionMental HealthPsychologistsWait list

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The number of workers, not employed by hotels, but working in MIQFs who are currently earning below the Living Wage.

Tags CoronavirusCOVID-19Living wageManaged isolationMIQFMIQsStaff

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Background

The Information Team at Community and Public Health (the public health division of the Canterbury District Health Board), was approached by the Canterbury Regional Isolation and Quarantine (C-RIQ) leadership who were concerned by incidents of stigma and discrimination being reported to them by staff working within the Canterbury Managed Isolation and Quarantine facilities (MIQF). In order to inform next steps by the C-RIQ leadership in supporting their workforce, a rapid literature review and a survey of Canterbury MIQF staff was undertaken in late 2020.

You can also read the full MIQ facility workers survey and literature review

Tags CoronavirusCOVID-19Managed isolationMIQFMIQsPandemicStaffWellbeing

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The Maternity Quality and Safety Programme (MQSP) Annual Report is published each year and submitted to the Ministry of Health.

Tags MaternityQualitySafety

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Background

The Information Team at Community and Public Health (the public health division of the Canterbury District Health Board), was approached by the Canterbury Regional Isolation and Quarantine (C-RIQ) leadership who were concerned by incidents of stigma and discrimination being reported to them by staff working within the Canterbury Managed Isolation and Quarantine facilities (MIQF). In order to inform next steps by the C-RIQ leadership in supporting their workforce, a rapid literature review and a survey of Canterbury MIQF staff was undertaken in late 2020.

Literature Review

To date, little or no research has been applied to understanding any work-related wellbeing impacts for individual MIQF workers, their whānau, and their communities, as well as any implications for life outside-of-work. The most closely related literature is focused on healthcare and other front-line workers’ experiences within in-patient contexts, for other viral diseases such as HIV, EBOLA, MERS, SARS (although the COVID-19 literature is emerging).

In a high-stress situation, such as a pandemic response, distorted disease perception, misinformation, and fear can trigger reactions from individuals and groups that can disproportionately affect front-line workers (and their significant others) and lead to negative psychosocial outcomes. Stigma and discrimination directed towards front-line healthcare workers have been well documented across several previous viral epidemics including HIV, EBOLA, MERS, SARS, and currently COVID-19, where they have been shown to be strongly associated with low staff motivation, poor staff retention, low morale, reduced psychological wellbeing, and in some cases anxiety and depression.

The applicability of the literature review findings to COVID-19 MIQ facilities in New Zealand needs to be considered in light of the differences in illness severity and the nature of the settings studied in the literature. Despite these differences, previous epidemics and settings share many common elements, and many of the studies propose strategies that might be applied in the context of New Zealand’s MIQ facilities.

You can also read the MIQ facility workers survey summary

Tags CoronavirusCOVID-19Managed isolationMIQsPandemicStaffWellbeing

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The total number of staff vacancies across all sites operated by the DHB, broken down by area of work (eg. Nursing) as of 01/03/2021.

Tags StaffingVacancies

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RE Intersex babies: How many intersex children have had genital surgery within their first year of life? (Could I have this info from 2016-2021 broken down into the number each year and the overall number for the ast five years / whether or not the surgery was medically necessary or whether it was cosmetic, the gender of the child as recorded on their birth certificate and the total cost per year of the surgeries. 2. How many referrals have been made to other DHBs for intersex babies in their first year of life for surgery, last five years, broken down into the number each year and the overall number 2016-2021

Tags Gender-affirming healthcare servicesIntersex children

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• The average time between acceptance onto the wait list and first appointment for patients referred to and accepted onto the waitlist for transmasculine chest reconstruction (top surgery).
• The number of publicly funded transmasculine chest reconstruction surgery completed in the last year.
• How patients are selected from the waitlist for transmasculine chest reconstruction surgery, and how often, i.e. if done by lottery how often is the lottery drawn.
• The number of referrals for transmasculine chest reconstruction in the last year, and how many were accepted and how many declined.

Tags Gender-affirming healthcare servicesSurgeryTransgendertransmasculine chest reconstruction surgery

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Patients placed in isolation within DHB hospitals to prevent the spread of disease 2018-2020 calendar years broken down by year.

Tags CoronavirusCOVID-19IsolationPublic health

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